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Nursing Diagnoses: Factors Affecting Their Use in Charting Standardized Care Plans by Ting‐Ting Lee is a Medicine article available to read on EtoBox.

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**Aims and objectives.** The purpose of this study was to explore factors that may affect nurses’ use of nursing diagnoses in charting standardized nursing care plans in their daily practice. **Background.** Care plans have been viewed as providing a structured approach to the assessment, planning and delivery of patient care. Nonetheless, the challenge for many institutions is to help professional nursing staff refine their understanding of nursing diagnoses and charting skills, to identify patient problems and propose appropriate care plans. **Method.** Twelve clinical nurses working at a medical center in Taiwan underwent one‐on‐one in‐depth interviews from May to July 2000. Data analysis was based on Miles and Huberman's data reduction, data display, and a conclusion verification process to investigate the charting process. **Findings.** Nurses tended to match patient conditions to the designated nursing diagnoses, be unfamiliar with statements of related factors, use objective data to describe patient conditions, ignore descriptions of nursing goals, dutifully check interventions without always executing them, and choose the same evaluation to meet hospital requirements. **Con

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Author

Ting‐Ting Lee

Publisher

John Wiley and Sons; Wiley (Blackwell Publishing); Blackwell Publishing Inc.; Wiley (ISSN 0962-1067)

Published

2005

Language

EN

Field

Medicine (Health Sciences)